Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $2,290.87 / $4,365.16	Facility		$338.84	$2,290.87	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $588.84 / $933.25	Facility		$407.38	$588.84	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $794.33 / $794.33	Professional		$758.58	$794.33	$794.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $707.95	Professional		$436.52	$616.60	$707.95
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	80	$138.04	$138.04	$138.04
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	AS	$138.04	$138.04	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83